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Associations between Mindfulness Facets and PTSD Symptom Severity in Psychiatric Inpatients

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Abstract

The current study concurrently examined associations of mindfulness facets with PTSD symptom severity and symptom cluster severity in a trauma-exposed, psychiatric inpatient sample. Participants included 152 psychiatric inpatients (42.1% women; mage = 33.86, SD = 11.29), who reported a history of trauma exposure consistent with Diagnostic and Statistical Manual of Mental Disorders—Fifth Edition (DSM-5) PTSD Criterion A. A cross-sectional design was used to determine associations between mindfulness facets and PTSD symptom severity and symptom cluster severity. Participants completed questionnaires regarding mindfulness and PTSD symptomatology. The data were analyzed at the bivariate level as well as multivariate level through hierarchical linear regression analyses. Results revealed that the mindfulness facets of acting with awareness (β = − 0.34, p < 0.001), non-judging of inner experience (β = − 0.34, p < 0.001), and non-reactivity to inner experience (β = 0.34, p < 0.001) demonstrated significant, incremental negative associations with total PTSD symptom severity, as well as PTSD intrusions (p’s < 0.05) and negative alterations in cognitions and mood (p’s < 0.05) symptom clusters, above and beyond covariates. Covariates included total number of traumatic life events and number of psychiatric diagnoses. This study investigated associations between mindfulness facets and PTSD symptom severity in acute care, psychiatric inpatients. Mindfulness may hold significant clinical utility for trauma-exposed psychiatric inpatients with varying levels of PTSD symptom severity. Research implications and future directions are discussed.

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Funding

This work was supported by a grant from the Hogg Foundation for Mental Health (JRG-263) awarded to Dr. Vujanovic.

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Colleen Martin and Anka Vujanovic conceptualized the manuscript, conducted statistical analyses, and co-wrote the manuscript. Brooke Bartlett wrote the “Results” section. Adam Gonzalez and Madhavi Reddy reviewed the draft and provided feedback.

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Correspondence to Anka A. Vujanovic.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was approved by the University of Texas Health Science Center at Houston and University of Houston institutional review boards.

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Martin, C.E., Bartlett, B.A., Reddy, M.K. et al. Associations between Mindfulness Facets and PTSD Symptom Severity in Psychiatric Inpatients. Mindfulness 9, 1571–1583 (2018). https://doi.org/10.1007/s12671-018-0904-5

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